NPI | 1194035097 |
---|---|
Entity Type | Organization |
Authorized Contact | BOONYONG P THADA Physician 410-358-5111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0019823) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2010-10-19 |