| NPI | 1356807697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 246960) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001514A) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-01-28 |