| NPI | 1700672144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAMAU NGUGI Co Owner 443-248-1929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |