| NPI | 1114044435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARATH C RAJA President 414-774-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-06-23 |