NPI | 1881822641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02509) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001530) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-06-30 |