| NPI | 1003773243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIQUE ZAHIR Physician 703-543-9252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |