| NPI | 1952400673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA 1354) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-03-06 |