| NPI | 1902173925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT 397) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2018-12-10 |