| NPI | 1255716643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KS KS1615) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2017032373) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-03-11 |