| 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 |