| NPI | 1104063247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTETA LORICA GATDULA Vice President 410-760-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0016990) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |