| NPI | 1952535189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5466) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MD 02821) |
| 237700000X Hearing Instrument Specialist (Licence: CA 7479) | |
| 237700000X Hearing Instrument Specialist (Licence: DE O3-0000255) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2019-08-14 |