NPI | 1255885836 |
---|---|
Entity Type | Organization |
Authorized Contact | ARUN K GUPTA Physician/Owner 703-330-3322 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101226689) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101226689) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-08-11 |