| NPI | 1629070883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS MILFORD HAHN Doctor 410-532-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0015546) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0020396) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-06-10 |