| NPI | 1902192800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 330) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS4164) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-04-20 |