| NPI | 1750757894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 9154) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3166) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-01-29 |