NPI | 1033446661 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY GEORGE GENSHEIMER President 207-443-6626 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 010700) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2009-11-03 |