NPI | 1265662795 |
---|---|
Entity Type | Organization |
Authorized Contact | KOFI SHAW-TAYLOR Owner 410-922-7382 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-10-19 |