| NPI | 1568294585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATHONY PAUL BASEL Medical Doctor 410-924-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |