| NPI | 1447871769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HADE11092) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AS HADE11092) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |