| NPI | 1710348073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80720) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2025-11-17 |