| NPI | 1922328434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA 2450) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA CAHA2450) |
| 237700000X Hearing Instrument Specialist (Licence: NV HAS218) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-05-06 |