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 |