| NPI | 1043408263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MARK JONAS Owner 410-602-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D20733) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D12899) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |