NPI | 1215900717 |
---|---|
Other Name | R. JOE CANNON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM 70-23) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 33672) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2009-12-22 |