| NPI | 1063643963 |
|---|---|
| Former Name | MAI CHU |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OTP4768) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011521) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2025-01-30 |