| NPI | 1821580028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU3311) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA RPE11685) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-01-03 |