| NPI | 1023546876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CLIFT LASKI Administrator 919-782-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-07-21 |