| NPI | 1033276688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHESHAMUL HAQUE President 757-489-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101231617) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |