| NPI | 1013745710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Co Owner 410-646-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-06-11 |