| NPI | 1811320898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MIHM Credentialing Specialist 410-744-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2024-05-14 |