| NPI | 1982012969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS 4751) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ME DL257) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-09-30 |