| NPI | 1356697403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00106700) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03222) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2016-04-04 |