| NPI | 1891025631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPIRO B ANTONIADES President 443-643-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD c0002581) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |