| NPI | 1710710504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5685) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL 308899) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |