| NPI | 1992990360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 490100444) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004444) |
| 152WP0200X Optometrist, Pediatrics (Licence: MI 490100444) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901004444) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-04-15 |