| NPI | 1962802165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000036315) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03564) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |