| NPI | 1730298365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WILLIAM HALSTEAD Owner 410-420-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0050803) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-10-19 |