NPI | 1184976722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 155) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-T-10151316) |
237700000X Hearing Instrument Specialist (Licence: WA HA 60353175) | |
Enumeration Date | 2012-10-05 |
Last Update Date | 2014-02-21 |