| NPI | 1801011937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 03756) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 03756) |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX 03756) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-12-09 |