| NPI | 1366138422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 1110) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 237700000X Hearing Instrument Specialist (Licence: KY 292456) | |
| 237700000X Hearing Instrument Specialist (Licence: OH IL.03521) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-12-03 |