| NPI | 1104852359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYN HOLICKY Administrator 410-296-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-09-12 |