| NPI | 1437190451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 1SV00008841) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 0014Z1) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-09-11 |