| NPI | 1548214281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1257) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA AU1257) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-01-01 |