| NPI | 1477552636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1856) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA3812) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA0083) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-09 |