| NPI | 1417483173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 2944) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 101868) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-04-06 |