| NPI | 1740206945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2194) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2194) |
| 237700000X Hearing Instrument Specialist (Licence: CA AU2194) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-05-08 |