| NPI | 1851501977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1111) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1111, HA2516) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-10-08 |