| NPI | 1801625660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSION BERHANE Medical Director 240-641-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |