| NPI | 1235309188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKECHUKWU D MBONU Physician 410-740-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD d0059649) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2011-05-27 |