NPI | 1477953800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE 03-0000273) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00099000) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2019-05-06 |