| NPI | 1851582027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALVIN JOHN WILEY Physician CEO 410-821-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD M49995) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |