| NPI | 1528790383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA-6068) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-12-12 |