| NPI | 1710112669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUTHYUNJAYA GONCHIGAR Owner/Physician 301-668-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2012-08-29 |