NPI | 1023398831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SD 328H) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ND H-0284) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |