| NPI | 1588724322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 5425-1) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 607319) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-06-05 |