| NPI | 1811662414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002174) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FC0801X Technician/Technologist, Contact Lens Fitter | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-12-18 |