NPI | 1811033376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 1015) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-12-19 |