| NPI | 1063442895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY JAIN Manager 434-447-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 101235595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 101236698) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 101236698) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-15 |