| NPI | 1609894674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP L ADZIMA Chief Operating Officer 410-420-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD M317) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-01-17 |