NPI | 1598190860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
156FC0801X Technician/Technologist, Contact Lens Fitter | |
Enumeration Date | 2013-09-05 |
Last Update Date | 2013-09-05 |