| NPI | 1235590357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MCCARTIN Administrator 410-343-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2023-07-17 |