| NPI | 1629492376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: DE 310633) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |