| NPI | 1205652898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDEON LEISER CEO 443-929-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208600000X Surgery | |
| 231H00000X Audiologist | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |