| 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 |