| NPI | 1962620690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMINA ANWAR Doctor 301-739-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0055626) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-06-15 |