NPI | 1548430267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003539A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18001445) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2014-09-09 |