| NPI | 1497346571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17001530A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH IL.03424) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |