| NPI | 1508155532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 981) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 2828) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-03-21 |