| NPI | 1063419927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOKU Billing Manager 703-573-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0011524230) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2008-04-20 |