| NPI | 1811200827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 2920) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1230) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2024-03-05 |