| NPI | 1104949254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CORNELL Credentialing 410-398-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD H0063647) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |