NPI | 1871056952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: KY 242066) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 242066) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 242066) | |
Enumeration Date | 2019-04-07 |
Last Update Date | 2019-08-03 |