| NPI | 1427675933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU3708) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ DA12482) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-07-12 |