| NPI | 1316182587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000775) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS0475) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2023-06-14 |