| NPI | 1306255146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4779) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 03235) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2025-05-22 |