| NPI | 1255762373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU 2924) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA 2924) |
| 237700000X Hearing Instrument Specialist (Licence: CA 2924) | |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2024-07-16 |