| NPI | 1053635284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRIYA BANAD JAGANNATH Owner 410-476-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0064112) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |