| NPI | 1518609429 |
|---|---|
| Doing Business As | INDIANA RETINA CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES DAEOK KIM President 410-967-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-08-04 |