| NPI | 1952435786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL AS5539) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 3501003129) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-08-05 |