NPI | 1689942187 |
---|---|
Entity Type | Organization |
Authorized Contact | EBUBE ODUNUKWE President 410-760-1213 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0037074) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2011-12-12 |