| NPI | 1568685287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN KUMAR BOLARUM Partner 301-694-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MD D0062223) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-03-30 |