NPI | 1558723288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE 03-202) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03241) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |