NPI | 1811238454 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN A ASAMOAH Physician 410-940-0561 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P0163) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2022-02-18 |