NPI | 1609030782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 251618) |
Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: NY 14000008903) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |