| NPI | 1477072924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2015039402) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 001105) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |