NPI | 1609991256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-432497) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA HA00002263) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |