| NPI | 1457780769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 12878) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 00871) |
| 237700000X Hearing Instrument Specialist (Licence: SD 311H) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2021-03-18 |