| NPI | 1104188424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK JACOB Manging Director 301-367-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2025-02-25 |