NPI | 1124204912 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB CHERIAN Physician/Internist 410-964-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D50973) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-02-13 |