NPI | 1982796066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003402a) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: IN 18003402a) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-04-13 |