| NPI | 1497169973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 2465) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 2465) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-06-19 |