| NPI | 1316980451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: HI 143) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: HI 100) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CA AU1064) | |
| 231H00000X Audiologist (Licence: CA AU1064) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: HI 143) | |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: HI 143) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: CA AU1064) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA2344) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-06-10 |