| NPI | 1295328003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AR 648) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2015002204) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-25 |