NPI | 1891085288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADE03490) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 0000000712) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2011-04-19 |