| 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 |