| NPI | 1215186465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEBREYE W. RUFAEL Owner 410-992-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D17107) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |