| NPI | 1255687232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4238) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS3760) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-10-30 |