NPI | 1568977296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID ha2037) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 177) |
Enumeration Date | 2017-12-04 |
Last Update Date | 2018-06-16 |