| NPI | 1154757326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A NYANJOM Administrator 410-740-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2014-02-21 |