| NPI | 1306229430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU3064) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HT9251) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-08-12 |