| NPI | 1811318462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA7942) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA-272) |
| 237700000X Hearing Instrument Specialist (Licence: CA HT9027) | |
| Enumeration Date | 2013-12-29 |
| Last Update Date | 2020-12-20 |