| NPI | 1740069749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2021012819) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1764) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |