| NPI | 1073820478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIU FARROKH ENGINEER Managing Director 410-206-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |