| NPI | 1770565731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEGINA MICHELLE GRAY Practice Administrator 301-645-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-02-05 |