| NPI | 1982827010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU 1647) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CA AU 1647) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |