NPI | 1801999362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KS 1282-3) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KS 1282) |
152WC0802X Optometrist Corneal and Contact Management (Licence: KS 1282) | |
152WL0500X Optometrist Low Vision Rehabilitation (Licence: KS 1282) | |
152WP0200X Optometrist Pediatrics (Licence: KS 1282) | |
152WS0006X Optometrist Sports Vision (Licence: KS 1282) | |
152WV0400X Optometrist Vision Therapy (Licence: KS 1282) | |
152WX0102X Optometrist Occupational Vision (Licence: KS 1282) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-07-23 |