| NPI | 1487316691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL 5594) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 237700000X Hearing Instrument Specialist (Licence: FL 4830) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-14 |