NPI | 1639552805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101002190) |
Additional Taxonomies | 235500000X Specialist/Technologist (Licence: VA 2102002776) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2019-08-15 |