| NPI | 1801488895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA-4610) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA HA61081124) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |