NPI | 1548329998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA00002203) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA 2203) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2024-12-01 |