| NPI | 1750348868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S993TA554) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AL S993TA554) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-04-07 |