| NPI | 1225561764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHVIN SOOD Mr. 804-305-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |