| NPI | 1528290830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA STOUT V. P. Of Finance 443-444-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2010-02-18 |