| NPI | 1700602125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NV HAS-4118) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA HA70033999) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2026-04-04 |