| NPI | 1710124458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4804) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1251-060) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2024-03-27 |