| NPI | 1194961672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASTANA RASOULY Office Manager 703-933-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101052178) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |