| NPI | 1235313933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C TRAHOS Director/Member 703-998-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0102035626) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0102035626) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |