| NPI | 1699887281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000007819) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-03 |