| NPI | 1467089672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1593) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1593-60) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |