| NPI | 1457378358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE H ROSS President 410-821-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0035727) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0038712) |
| 208600000X Surgery (Licence: MD D0018442) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |