NPI | 1023655792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 1315) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS HA0676) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |