NPI | 1881367662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 5571072-4601) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA1031) |
Enumeration Date | 2021-07-28 |
Last Update Date | 2021-07-28 |