| NPI | 1639748775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501013951) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH IL.003364) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-07-25 |