| NPI | 1376839092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSAR KHALIL YOUSSEF Physician 410-542-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0071504) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D54931) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |