| NPI | 1508421793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1587-60) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS001006) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |