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 |