| NPI | 1609716554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAKARI CHAKHMAKHASHVILI President 443-883-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |