| NPI | 1013106384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2554) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: HI AUD-151) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2025-08-06 |