| NPI | 1336663343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QINGLIANG TONY WANG Owner/President 410-227-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 252321) |
| Additional Taxonomies | 2084D0003X (Licence: NY 252321) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 252321) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-03-17 |