| NPI | 1689612236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAN REKHA TULI President 301-424-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D19609) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D19609) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-05-19 |