| NPI | 1376510313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1139) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA2555) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |