NPI | 1548411960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 1959) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NH 782) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2009-07-27 |