| NPI | 1982930517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSOM BARIAGHABER GHEBRAI Sole Mbr 301-502-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: DC MD035237) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |