| NPI | 1851629653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4802) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1317-060) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-10-02 |