| NPI | 1225196777 |
|---|---|
| Professional Name | TIM CONRAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 29088) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01041184) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-12-18 |