| NPI | 1336279157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU3093) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 00461) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 00744) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU3093) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-10-24 |