| NPI | 1417071861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2956ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003972) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA OD00003972) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 2956ATI) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OR 2956ATI) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OR 2956ATI) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OR 2956ATI) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OR 2956ATI) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-06-14 |