| NPI | 1356350474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WX0102X Optometrist Occupational Vision (Licence: IN 18002594B) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002594B) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: IN 18002594B) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: IN 18002594B) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |