| NPI | 1366175150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5699) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS001078) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-12-02 |