| NPI | 1912393430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 6082620-4601) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist (Licence: NV HAS-521) | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-01-12 |