| NPI | 1538795786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NJ 1136) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 14000028100) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |