| NPI | 1588800544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 00591) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 2502) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2025-09-03 |