| NPI | 1992998975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT NICHOLS Credentialing Representative 410-258-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-12-05 |