| NPI | 1922251669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODEEN RAHBAR Credentialing/Contracts Manager 240-427-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: MD D0024644) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD H0061922) |
| 2086S0129X (Licence: MD D0028639) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0026021) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0059944) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2025-04-28 |