| NPI | 1598793929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1243) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA1678) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |