| NPI | 1568240430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2956) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 121284) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-01-24 |