| NPI | 1952732430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG VICTOR IGOT TAMPUS Owner 410-248-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0076580) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2018-11-15 |