| NPI | 1558478180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGANBHAI PANSURIYA Owner/President 410-848-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-03-19 |