| NPI | 1134211667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ADZIMA Chief Operating Officer 410-420-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD 25-0445) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-04-04 |