NPI | 1487950879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NE 612) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 612) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2011-02-01 |