NPI | 1225288095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA MA4072) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist |
Enumeration Date | 2008-09-29 |
Last Update Date | 2008-12-10 |