| NPI | 1538377536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA 7232) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 2506) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-06-12 |