| NPI | 1730227349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001434) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NC 1129) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-11-26 |