| NPI | 1700070513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL VANE WILKINSON Owner/Physician 410-964-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0027106) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2011-09-23 |