| NPI | 1326340845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: CA 017877) |
| Enumeration Date | 2010-12-04 |
| Last Update Date | 2010-12-04 |