| NPI | 1205189123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 7336) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2021-02-17 |