| NPI | 1427231745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAURENCE HERRMANN Billing Agent 410-882-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D51872) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2013-07-22 |