| NPI | 1972787265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON KEVIN NELSON President 301-779-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD doo31173) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0041405) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0046998) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD M411) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2011-02-03 |