| NPI | 1457608440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HADR6449) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-10131231) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-05-30 |