| NPI | 1871849455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000001647) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CT 000399) |
| 237700000X Hearing Instrument Specialist (Licence: MA 77) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-12-18 |