| NPI | 1780013508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MULAI T YOHANNES Sole Member 301-552-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD32123) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD32123) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0059094) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |