| NPI | 1558351163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE D GROSS Billing Manager 202-296-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD14045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD13891) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD13325) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD12803) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-09-04 |