| NPI | 1225588569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD BASIT AFZAL Provider 410-398-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2023-08-24 |