| NPI | 1467882795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NWOKE Organizer 240-271-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 68460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 67534) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2017-08-01 |