| NPI | 1518773589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Manager 410-800-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| 207RH0000X Internal Medicine Hematology | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-03-15 |