| NPI | 1689312092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3334) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 152W00000X Optometrist (Licence: VT 030.0133965) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2026-08-04 |