| NPI | 1457877128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE ELIZABETH BARGAR Office Manager 443-716-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 00047068) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |