| NPI | 1386653954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO4855) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL DO4855) |
| 1744R1103X Specialist, Research Data Abstracter/Coder (Licence: FL DO4855) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-07-22 |