| NPI | 1073693800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU315) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA1897) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-11-29 |