| NPI | 1649420498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1175-060) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2660) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2023-03-20 |