NPI | 1043686611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS0511) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 1421) |
237700000X Hearing Instrument Specialist (Licence: VA 2101001528) | |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |