| NPI | 1427250331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HAD1532) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ 1532) |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2021-05-12 |