NPI | 1790823011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA1099) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU221) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |