NPI | 1710048335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OR Not Applicable) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OR Not Applicable) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2008-06-09 |