NPI | 1508916370 |
---|---|
Professional Name | JUSTIN ERIC ANDERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M9125) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 237829-1) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2008-10-01 |