| NPI | 1609333434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 1095) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101002408) |
| 237700000X Hearing Instrument Specialist (Licence: SC HTP-1074) | |
| 237700000X Hearing Instrument Specialist (Licence: OH 03454) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-03-14 |