| NPI | 1962729848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 985) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 1040) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-06-17 |