| NPI | 1821020215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1709) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA3729) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-12-02 |