| NPI | 1245739762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINGCHAO HE Provider 202-270-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 202K00000X (Licence: VA 0101259677) |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2019-08-08 |