| NPI | 1649523705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1364) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2722) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2020-03-26 |