NPI | 1104818582 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP BENJAMIN BOVELL Owner 301-292-0757 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0020121) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2008-01-23 |