| NPI | 1326175043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD RASSOOL Physician 757-490-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101038190) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103300868) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-12-18 |