| NPI | 1093897662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2631) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 41YA00071500) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-09-19 |