| NPI | 1518008424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ME DL20000391) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NH NH477) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-01-25 |