| NPI | 1285135749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3693) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OR 31008) |
| 231HA2400X Audiologist, Assistive Technology Practitioner | |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-05-25 |