| NPI | 1902143712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80575) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 11151) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2022-10-12 |