| NPI | 1215781976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY BOGGS A VP 240-315-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208800000X Urology | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |