| NPI | 1578700084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA 000971) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS2536) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2023-12-07 |