NPI | 1104873033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1794) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA4147) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2014-05-28 |