| NPI | 1902358682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS001070) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA8160) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-07-12 |