| NPI | 1003346404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LESLEY GORING Owner 240-223-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD 56571) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |