| NPI | 1073794400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOL FOWLER Office Manager 202-562-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0024996) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-26 |