| NPI | 1114360138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMAN ASHRUF Director 410-590-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1552) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2014-05-01 |