| NPI | 1457000655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA3708) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA1063) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |