| NPI | 1447960497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 166926) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH IL.3127) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |