| NPI | 1497553135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REPAC CFO 301-790-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |