| NPI | 1518323732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN HID2605) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN HID2605) |
| 237700000X Hearing Instrument Specialist (Licence: ND H0266) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2020-08-28 |