| NPI | 1699386748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MT 1609) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MT 1526) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2022-10-05 |