| NPI | 1720483019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 987) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 03015) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2018-12-14 |