| NPI | 1598979585 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA 765)  | 
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADE034799)  | 
| 237700000X Hearing Instrument Specialist (Licence: SC HAS-452)  | |
| Enumeration Date | 2007-05-09 | 
| Last Update Date | 2024-11-22 |