| NPI | 1811316946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA 8711) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 50297) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-12-21 |