| NPI | 1528641339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5567) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS0679) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-07-19 |