| NPI | 1720197924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M CLARK Office Manager 410-486-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0047743) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-02-16 |