| NPI | 1912696816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5712) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1247-60) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |