| NPI | 1942482070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. RAVICH Managing Physician 410-616-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D24270) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2010-07-09 |