| NPI | 1306053012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIN NASSIRPOUR Chiropractor 410-663-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD S02091) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |