| NPI | 1942485305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MARTINEZ Owner/Md 410-687-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2021-04-16 |