| NPI | 1407577711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0777) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AR 645) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-06-26 |