NPI | 1003831165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP 2281) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OP 2281) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-10-09 |