NPI | 1649424037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003553A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005829) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2025-04-04 |