| NPI | 1609823103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A EDWARDS Sr, VP 410-951-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |