| NPI | 1093933723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA L GORLE Principal 703-961-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235079) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |