| NPI | 1548084940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEINBERG Trustee 443-929-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 208600000X Surgery | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |