NPI | 1881443554 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK ALWYN FOX President 443-524-0885 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
Enumeration Date | 2024-05-15 |
Last Update Date | 2025-02-21 |