| NPI | 1891110128 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4794) | 
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL A.S.4794) | 
| Enumeration Date | 2014-02-24 | 
| Last Update Date | 2022-10-12 |