| NPI | 1124208129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVVERAHALLI M HARISH President 410-655-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D42723) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |