| NPI | 1336195650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A EDWARDS Sr VP 410-659-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-05-12 |