| NPI | 1386051241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 1089-156) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU3060) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2024-11-18 |