363LA2100X
Baltimore, MD
Specialty
363LA2100X
Credential
NP
NPI
1538249768
1838 Greene Tree Rd, Baltimore, MD 21208
(410) 505-4461Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X