| NPI | 1366468118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2015) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA au2015) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-03-23 |