| NPI | 1770124968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 4496) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: AZ HAD4496) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-03-02 |