| NPI | 1437591047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AR 620) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS HA0607) |
| 237700000X Hearing Instrument Specialist (Licence: TN 795) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2019-07-18 |