| NPI | 1063762417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H GOLDMAN Owner 410-908-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D46931) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |