NPI | 1144533936 |
---|---|
Former Name | TAYOUNG THOMAS CHWE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6416) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2646) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2024-09-13 |