| NPI | 1780060533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO R YATACO Medical Director 410-337-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0050652) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |