| NPI | 1104161082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL GROSS Executive Director 301-263-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |