| NPI | 1881900785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM 0865) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00057700) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2020-02-11 |