| NPI | 1952418535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARDS, II Title 410-659-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-07-02 |