| NPI | 1467146795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 81196) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3522) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-11-20 |