| NPI | 1356718837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80939) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1477-60) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-06-20 |