| NPI | 1891987673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175L00000X Homeopath |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: TX d3990) |
| 156FX1100X Technician/Technologist, Ophthalmic (Licence: OK 36344) | |
| 156FX1800X Technician/Technologist, Optician (Licence: TX D3989) | |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based (Licence: OK 36344) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-01-11 |