| NPI | 1730320425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NV 202) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NV 1504) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2024-05-11 |