| NPI | 1689881252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A0000001636) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU2377) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA7071) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-03-01 |