| NPI | 1891716767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEO PRATAP SHARMA Medical Director 443-394-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1370) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2022-12-05 |