| NPI | 1245426568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALEED N. NAZMY President 804-353-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101230348) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |