| NPI | 1013506948 |
|---|---|
| Professional Name | IZICK KHANIMOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1101X Technician/Technologist, Ophthalmic Assistant (Licence: NY 00897-01) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |