NPI | 1295419661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: KY 111492) |
Additional Taxonomies | 156FC0801X Technician/Technologist Contact Lens Fitter |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |