| NPI | 1871529180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUTHYUNJAYA GONCHIGAR Partner 301-668-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1349) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-12-11 |