NPI | 1093791121 |
---|---|
Professional Name | J. TIMOTHY HEFFERNAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WA MD00016843) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00016843) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2024-01-03 |