| NPI | 1346639077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA7942) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA9094) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-04-28 |