| NPI | 1992267744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WV 1057) |
| 237700000X Hearing Instrument Specialist (Licence: KY 239676) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-10-26 |