| NPI | 1346365392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5095) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WV 680) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-07-05 |