| NPI | 1003125733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER B KOPPEL Direct Owner 443-279-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D15538) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |