| NPI | 1831698455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: RI 248) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 219) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |