| NPI | 1922401785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KS 1117) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 986) |
| 237700000X Hearing Instrument Specialist (Licence: NE 741) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2018-06-29 |