| NPI | 1063459451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASH KUMAR Owner 410-848-2203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D0018903) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-06-10 |