| NPI | 1124224514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY CARY TYROLER Principal Holder 703-264-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101049092) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2010-07-13 |