| NPI | 1295905420 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 3499) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001206A) |
| 237700000X Hearing Instrument Specialist (Licence: IL 2807) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-10-20 |