| NPI | 1104680347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN DPO3107) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: TN DPO3107) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |