| NPI | 1407192453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80878) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SD 353H) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2024-07-09 |