| NPI | 1356981799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 429) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 8484) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-05-07 |