| NPI | 1235820564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00734800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003283) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-03-24 |