| NPI | 1760432462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUSHIRAVAN DADGAR Owner 301-279-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0067332) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0069766) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-03-02 |