| 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 |