| NPI | 1811725625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: FL 5633) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL 6154) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |