| NPI | 1114966017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURPREET SINGH BAJWA Owner 703-573-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101231157) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |