| NPI | 1245501451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHMAN TEIMOURIAN Medical Director 301-897-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0011144) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |