| NPI | 1912415274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 9204760-4601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 206) |
| 237700000X Hearing Instrument Specialist (Licence: NV HAS-0576) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |