| NPI | 1053389064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M HIGGINBOTHAM COO 415-972-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-02-03 |