| NPI | 1639552805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101002190) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: VA 2102002776) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-08-15 |