NPI | 1316920499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002944A) |
Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: IN 18002944A) |
152WS0006X Optometrist Sports Vision (Licence: IN 18002944A) | |
152WV0400X Optometrist Vision Therapy (Licence: IN 18002944A) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2021-06-07 |