| NPI | 1104986678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REN LEWIS Administrator 301-829-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0047120) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |