| NPI | 1669725065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001386A) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2021-12-06 |