| NPI | 1508358466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR 10197288) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 8271) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-09-14 |