| NPI | 1376075366 |
|---|---|
| Other Name | NICHOLAS B GRISSOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 202202395) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD204084) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NC 202202395) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-12-20 |