| NPI | 1508355470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA GROVER Authorized Official 240-427-1630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208600000X Surgery |
| 208D00000X General Practice | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-04-28 |