| NPI | 1093847733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA 207) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: CA SL1875) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: CA CL325) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-11-20 |