| NPI | 1649243338 |
|---|---|
| Other Name | DAVE EDMISTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G33644) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G33644) |
| 207W00000X Ophthalmology (Licence: OR MD165316) | |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2016-10-03 |