| NPI | 1285841726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001439) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000004855) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |