| NPI | 1780695973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIUS DOUGLAS POLK Treasurer 202-526-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-03-04 |