| NPI | 1447327507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU758) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA1949) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-03-13 |