| NPI | 1447487863 |
|---|---|
| Other Name | VIETNAM LY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13855TLG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-11-23 |