| NPI | 1265024053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID 9161671) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 214) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-08-28 |