| NPI | 1386870061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEP DALAL Director 410-590-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0064447) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2011-01-02 |