NPI | 1841661956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101002283) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001458A) |
237700000X Hearing Instrument Specialist (Licence: IL 3257) | |
237700000X Hearing Instrument Specialist (Licence: IA 094684) | |
Enumeration Date | 2015-10-14 |
Last Update Date | 2020-12-28 |