| NPI | 1881001287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501007084) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 3501007084) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-10-17 |