NPI | 1801960885 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY THOMAS Md 301-604-3228 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D50349) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D24388) |
174400000X Specialist (Licence: MD D47363) | |
174400000X Specialist (Licence: MD D41258) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-06-23 |