NPI | 1942374731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-03-28 |