| NPI | 1841417607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000685-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VT 145.0017582) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-11-26 |