| NPI | 1215348859 |
|---|---|
| Other Name | JORDAN STANLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 83395) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: GA 83395) |
| 208D00000X General Practice (Licence: GA 83395) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2022-01-04 |