| NPI | 1750689790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 1324) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0620) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2022-07-21 |