| NPI | 1407486293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROZIC CFO 410-913-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208800000X Urology | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-04-22 |