NPI | 1932092608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007387) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH OPT.007387) |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-02 |