NPI | 1487670642 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAVEEN H. KESHAVA President 802-775-0038 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 042-0011190) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2009-06-17 |