| NPI | 1336416486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHA NACHIMUTHU Director 703-395-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101244402) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101244402) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101244402) | |
| 208M00000X Hospitalist (Licence: VA 0101244402) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |