| NPI | 1801610969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 134325) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 2075-60) |
| 237700000X Hearing Instrument Specialist (Licence: MN 2965) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-08-29 |