| NPI | 1811177553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2225) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 57002452) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147001450) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA5049) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-03-03 |