NPI | 1043230253 |
---|---|
Entity Type | Organization |
Authorized Contact | LEO SANTAMARINA Owner 410-392-4976 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C10005728) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0062427) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-08-22 |