| NPI | 1811552474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000001611) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: NY 14000001611) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2022-03-10 |