NPI | 1972748879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA60263662) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA-1667) |
Enumeration Date | 2008-12-05 |
Last Update Date | 2012-04-06 |