| NPI | 1104961150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI NIAK Physician 301-897-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0056136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053269) |
| 207R00000X Internal Medicine (Licence: MD D50220) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-05-14 |