| NPI | 1003947243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A LEE Owner 410-321-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0041772) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |