NPI | 1437671880 |
---|---|
Former Name | ISRAEL CHUJOR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003232) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5440) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-02-01 |