NPI | 1215021506 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIANO D. CHUTUAPE Physician 703-730-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: VA 101053905) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2024-10-08 |