NPI | 1699023796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17000993A) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY KY1025) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2012-08-21 |