| NPI | 1043549561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKAS THAKRAL Chief Financial Officer 571-230-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |