| NPI | 1871022772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101001223) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MD 02438) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |