| NPI | 1154576304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHARKEY Manager, Professional Fee Billing 443-777-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2009-01-12 |