| NPI | 1679217731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN BALAKIRSKY Vice President 410-617-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |