| NPI | 1790028546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: RI 264) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 35) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2021-09-02 |