| NPI | 1710951082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE ZIMMERMAN Practice Manager 410-546-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |