| NPI | 1518722040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA SICHEL Chief Executive Officer 443-501-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |