| NPI | 1346369907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00036200) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS2328) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |