| NPI | 1427069541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000156) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237700000X Hearing Instrument Specialist (Licence: IL IDPH0394) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL IDPH0394) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-10-06 |