| 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 |