| NPI | 1306124946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 077701) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: NE 725) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-02-06 |