| NPI | 1679964480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E KOZACHUK Neurologist 410-828-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MD D0037279) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |