| NPI | 1154599967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYAZ A SHAWL Owner 301-891-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0022639) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-06-23 |