| NPI | 1346433182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A. BOSLEY Office Manager 410-876-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0033487) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-01-21 |