| NPI | 1972836765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 127254) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3179) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2024-09-19 |