| NPI | 1467002220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5537) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HDS001027) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2024-09-20 |