| NPI | 1104950385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIQUE ZAHIR President 703-208-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101230226) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |