| 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 |