| NPI | 1497987648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA f03207) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03207) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-04-21 |