NPI | 1790198950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OH 03072) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OH 00238) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |