| NPI | 1477091809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA 8617) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: CA 366426093) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2020-12-10 |