| NPI | 1053515171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REN J. LEWIS Practice Administrator 301-829-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101035576) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-09-17 |