| NPI | 1992856025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAJIRA GUNAWARDANE Physician Director 410-871-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0047120) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-10-16 |