| NPI | 1346598000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000017941) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-04-03 |