| NPI | 1588603021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA3617) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA HA3617) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-06-08 |