| NPI | 1396386413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000000771) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CT 000364) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |