| NPI | 1104143759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ASHBURN Senior Client Manager 410-882-3459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD439156) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |