| NPI | 1376744714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT NICHOLS Credentialing Representative 410-258-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |