| NPI | 1942021738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MALONE Treasurer 202-861-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |