NPI | 1871551374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens (Licence: NY C004786-1) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY C004786-1) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2007-07-08 |