| NPI | 1174642557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2000) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-08-28 |