| NPI | 1336195650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President & CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-12-18 |