| NPI | 1912758186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKI KWON President/CEO 301-681-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-11-20 |