| NPI | 1790849784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4086) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CT 521) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-06-11 |