| NPI | 1356449532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-1599) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA RPE 4084) |
| 231H00000X Audiologist (Licence: OR 23383) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HT 8138) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-08-17 |