| NPI | 1417202474 |
|---|---|
| Other Name | VAN CHARLIE NGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14561 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002673) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2016-03-13 |