NPI | 1407625635 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC CHO Medical Director 202-725-3281 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2023-12-28 |
Last Update Date | 2024-01-30 |