| NPI | 1033514781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAD POORAN Owner 202-373-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2018-05-09 |