| NPI | 1790231066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HT 9508) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 10463) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-09-01 |