| NPI | 1952864555 |
|---|---|
| Other Name | JACK HUNT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 30632) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-04-12 |