| NPI | 1720152416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA3961) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA ha3961) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-03-02 |