| NPI | 1578774857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000014162) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 15000012029) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-03-07 |