| NPI | 1790291003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAMS CEO 443-410-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0070342) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0078360) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |