| NPI | 1790995017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNESH DALAL CEO 240-296-6099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MD 4627) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD 4567) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-05-09 |