| NPI | 1649683459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA-2772) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001401a) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-04-25 |