NPI | 1942311774 |
---|---|
Professional Name | SAMI K GHANNAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1759) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001157) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-10-19 |