| NPI | 1639780505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President Physician Services 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |