| NPI | 1194999334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU244) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU244) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2014-02-19 |