| NPI | 1972741486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4101) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F02542) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2019-01-04 |