| NPI | 1952691156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINN E MAURY Physician/Owner 443-995-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 15916) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: HI 15916) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |