| NPI | 1124443809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEL KAMAL Physician 410-871-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D0036409) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |