| NPI | 1700593415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PRAVOOT GIRA Md 314-909-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |