| NPI | 1164858205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIHARSH LAXMAN POLE President 703-497-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0024166397) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |