| NPI | 1912098823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL WILSON President/CEO 301-899-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D41276) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |