NPI | 1386692648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003241B) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003241A) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18003241B) | |
152WP0200X Optometrist, Pediatrics (Licence: IN 18003241B) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2008-03-26 |