| NPI | 1225032287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 000662) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 000662-1) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2009-01-14 |