NPI | 1801802723 |
---|---|
Former Name | WILLIAM ANDREW HUBBARD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 9055) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 9044) |
207WX0107X Ophthalmology, Retina Specialist (Licence: OK 9055) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: OK 9044) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2021-10-07 |