NPI | 1922233329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156F00000X Technician/Technologist (Licence: CT 1127) |
Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: CT 1127) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-05-29 |