NPI | 1992804710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001276-1) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000001180) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2015-09-01 |