| NPI | 1831564772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID GHARAGOZLOO Physician 301-601-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |