| NPI | 1114773439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO CFO 443-643-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |