| NPI | 1790722791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2137) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA4171) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-05-28 |