| NPI | 1073789277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS GRAHAM FARVOLDEN Physician/Owner 410-321-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0067218) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |