NPI | 1578807897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 037-3065) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1372-60) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2015-10-21 |