| 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 |