| NPI | 1619036530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2057) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA4079) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-12-30 |