| NPI | 1063087252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREHIWOT D TEMESGEN President 301-675-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-08-31 |