NPI | 1609901024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HASP119476) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OR 30205) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |