| NPI | 1942343116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 15000002980) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 000631-1) |
| 237700000X Hearing Instrument Specialist (Licence: NY 14000005161) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-09-11 |