NPI | 1790022523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA 7785) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3082) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2015-01-27 |