| NPI | 1487743308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA-4401) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HASP938185) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-03-08 |