| NPI | 1346407046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 41YA00067200) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00067200) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-03-19 |