| NPI | 1740395920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000963) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AL 2124) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-06-01 |