| NPI | 1487949145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA 60222085) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-358143) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-07-21 |