| 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 |