| NPI | 1376032110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM HAD0711) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ hadr9366) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2019-09-11 |