NPI | 1811086960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002307A) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IN 18002307B) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |