| NPI | 1558366567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU22) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: CA AU22) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: CA AU22) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA SP1845) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU22) | |
| 237700000X Hearing Instrument Specialist (Licence: CA HA1140) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-03-24 |