NPI | 1003108689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA 00000851) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR 049940) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2011-05-13 |