| NPI | 1346348075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER TAVAKOLI-JALILI President 301-352-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: MD D41978) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-08-25 |