| NPI | 1710426846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5273) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AST593) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-09-18 |