| NPI | 1477962900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000897) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2022-10-21 |