| NPI | 1124764220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE Owner 240-988-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |