NPI | 1821252461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 3793) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3793) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2017-11-17 |