| NPI | 1669806881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 5320) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID 6006) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2023-12-06 |