NPI | 1437153129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3146T157) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 3146T157) |
152WP0200X Optometrist, Pediatrics (Licence: OH 3146T157) | |
152WX0102X Optometrist, Occupational Vision (Licence: OH 3146T157) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2014-10-09 |