| NPI | 1891970067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CORNELL Credentialing Coordinator 410-398-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD0388251) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |