| NPI | 1821158668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2108) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA4050) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-02-13 |