| NPI | 1558619254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA IZADI Owner 301-829-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101237760) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101237760) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-08-19 |