NPI | 1336661297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00097600) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00142400) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-07-21 |