NPI | 1356651459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HAD6207) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ HAD6207) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2019-02-28 |