| NPI | 1760247589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WY 239) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CO 273) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |