| NPI | 1528141025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P KNUD-HANSEN Owner 410-822-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy (Licence: MD A1180) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |