NPI | 1790779015 |
---|---|
Professional Name | PAUL LESLIE DEGENAER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 4630T) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2017-06-11 |