| NPI | 1124370093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ONEIL DIMITRY WILLIAMS Member 703-957-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0116019977) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |