| NPI | 1568413615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 0001358) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000003127) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2008-10-07 |