| NPI | 1225109457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UY QUOC NGUYEN Medical Doctor 703-671-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235759) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |