| NPI | 1851069223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 1026) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV 1026) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-08-30 |