| NPI | 1699582007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1101X Technician/Technologist, Ophthalmic Assistant (Licence: 326188) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 326188) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-31 |