| NPI | 1871177162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MS HA-696) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: LA 1338) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-09-08 |