NPI | 1922132281 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT KIRK JACKSON President 301-698-2440 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D0039847) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D0059947) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |