| NPI | 1063563203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY W BLUM Owner Physician Manager 410-266-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D37246) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-02-05 |