NPI | 1962955286 |
---|---|
Entity Type | Organization |
Authorized Contact | ALI TABASSIAN Managing Partner 804-363-8948 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101054624) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-09-21 |