| NPI | 1174878581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUBADDA SALIM Physician 443-801-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D0040310) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101246900) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |