| NPI | 1184807869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANTHA R STOLL Owner/Physician 703-212-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101057481) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-09-10 |