| NPI | 1669008819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 444) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: RI 291) |
| 237700000X Hearing Instrument Specialist (Licence: NH 1111) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |