| NPI | 1366898504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501013959) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 3501013959) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2025-01-15 |