| NPI | 1982140968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HA 8181) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 23067) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |