| NPI | 1841419736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 64) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL 5032) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-09-11 |