| NPI | 1093329096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3542) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3452) |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2021-01-16 |