| NPI | 1508199720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUTHYUNJAYA GONCHIGAR Owner/Physician 301-668-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2020-10-15 |