| NPI | 1225276702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA STOUT Vice President Finance 443-444-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |