| NPI | 1689710865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MT 1091) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 812) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-10-05 |