| NPI | 1790322238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NV HAS-0341) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |