| NPI | 1295445724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NCHANG TAKA Owner 301-323-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |