NPI | 1730871245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31td00354900) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-05-23 |