| NPI | 1548897242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 1029) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 848) |
| 237700000X Hearing Instrument Specialist (Licence: IA 100097) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-03-01 |