| NPI | 1457971103 |
|---|---|
| Other Name | ALEX GEORGE DONOVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1570) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10029T) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-06-29 |