| NPI | 1821380387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ENRIQUE BLAKE President 301-983-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MD D30235) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |