| NPI | 1205401502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKAYA ADISA MULATO Md/Owner 301-200-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |