| NPI | 1710913934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTONIADES Md 410-951-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-10-22 |