NPI | 1881090686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 925) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 7514) |
Enumeration Date | 2014-11-06 |
Last Update Date | 2014-11-06 |