| NPI | 1710258298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000710) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2023-04-26 |