| NPI | 1427803519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROZIC CFO 410-913-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RR0500X Internal Medicine Rheumatology | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |