| NPI | 1255546263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ALBERT MIDY Owner 410-997-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D0026720) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-10-29 |