| NPI | 1013192848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CARLTON MCCORKLE President 410-363-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0033742) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |