| NPI | 1215320742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA CA8507) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ HADE8757) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-07-08 |