| NPI | 1295032852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS OPE Owner / President 443-877-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2018-03-27 |