NPI | 1649523705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1364) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2722) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2020-03-26 |