NPI | 1447916432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: 180344) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 180344) |
Enumeration Date | 2021-11-13 |
Last Update Date | 2021-11-13 |