| NPI | 1134441314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DVORINE Dermatologist 410-644-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MD d0001507) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |