NPI | 1487182580 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY S. EKONG Sole Owner 207-573-1509 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: ME MD21285) |
Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: ME MD21285) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-07-21 |