| NPI | 1023385374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GOLDMAN Owner 703-698-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101043150) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-12-13 |