NPI | 1265676357 |
---|---|
Entity Type | Organization |
Authorized Contact | ACQUANETTA LAVERNE FRAZIER Owner 301-552-1801 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0022435) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2012-07-30 |