| NPI | 1285944504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUTHYUNJAYA GONCHIGAR Sole Owner 301-461-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2022-07-21 |