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 | 2024-10-30 |