| NPI | 1396934816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M HOFFMAN Administrative Official 410-224-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D12796) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |