| NPI | 1720454176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: RI 246) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 174) |
| 237700000X Hearing Instrument Specialist (Licence: NH H641) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-08-24 |