| NPI | 1477067718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS001118) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS5175) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2023-09-21 |