| NPI | 1083894497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTY MATHIVANNAN President 202-877-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31203) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |