NPI | 1003109778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101001616) |
Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: VA 2101001616) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-05-27 |