| NPI | 1639502313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MIHM Office Manager 410-744-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2025-08-20 |