| NPI | 1568734515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC 698) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 788) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-08-10 |