| NPI | 1083239933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrative Officer 410-543-7497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-07-22 |