| NPI | 1962578914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1138) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA2506) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |