| NPI | 1083998074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROQUELL WYCHE Solo Proprietor 202-812-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD33157) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: DC MD33157) |
| Enumeration Date | 2011-10-08 |
| Last Update Date | 2011-11-10 |