| NPI | 1760748800 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID ZACHARY MARTIN Owner/Physician 443-687-9990 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0058474) | 
| Enumeration Date | 2012-04-03 | 
| Last Update Date | 2014-09-26 |