| NPI | 1992962153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPIRO BASIL ANTONIADES Sole Proprietor 410-446-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D0047688) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-06-02 |