| NPI | 1881443554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK FOX Owner/Physician 443-858-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |