| NPI | 1982049193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEGINA MICHELLE GRAY Practice Administrator 301-645-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-02-07 |