| NPI | 1487323580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5560) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03736) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |