| NPI | 1053403170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK WILLIAM WALKER President 410-836-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD DOO20463) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |