| NPI | 1962958926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKIRUKA ARENE Physician 443-371-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D63924) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D63924) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-07-12 |