| NPI | 1568063758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIFTY AFETA Clinican 301-337-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |