Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME103925 | FL |
NPI | 1003131939 |
---|---|
Provider Name | Dr. Joseph Selem |
First Address | Coral Gables, FL 33134-3035 |
Second Address | Coral Gables, FL 33134-3035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2010 |
Last Update Date | 16/11/2015 |