| NPI | 1194052555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDDY RANDALL Owner 410-823-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0015808) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2010-01-10 |