| NPI | 1912951583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S VAGNONI Officer 301-777-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0059987) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |