NPI | 1174655278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1523) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA3371) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |