| NPI | 1750945648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 311) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 311) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-08-05 |