NPI | 1831683804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18004098A) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004098B) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2020-09-13 |