| NPI | 1336547694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0579) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 03215) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2025-04-11 |