NPI | 1174831291 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE S RASHBAUM Owner 202-450-5778 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: DC MD15084) |
Additional Taxonomies | 174400000X Specialist (Licence: DC MD18133) |
363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1015562) | |
Enumeration Date | 2010-09-23 |
Last Update Date | 2010-09-23 |