| NPI | 1114339074 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EMAD A EISA Medical Doctor 703-598-6013  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME114732)  | 
| Enumeration Date | 2014-05-27 | 
| Last Update Date | 2014-09-24 |