| NPI | 1437494549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 200) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: RI HAD00270) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-09-10 |