| NPI | 1083125736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN P PARIKH Resident Agent 443-205-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2018-12-16 |