NPI | 1598524308 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Co Owner 410-646-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
Enumeration Date | 2024-03-14 |
Last Update Date | 2025-06-11 |