| NPI | 1720479728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVESH DHRUVA KANJARPANE President 301-675-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MD D40076) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D40076) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |