| NPI | 1982635074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT C. BIRELY President 410-828-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-03-24 |