| NPI | 1467114942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80998) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 90998) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-19 |