NPI | 1538367545 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO CFO 443-643-3340 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine |
Enumeration Date | 2007-07-11 |
Last Update Date | 2021-12-09 |