| NPI | 1932234051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4620) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 1315) |
| 237700000X Hearing Instrument Specialist (Licence: MO 0927) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-12-08 |