NPI | 1831138742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002122A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002122B) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2007-07-08 |