| NPI | 1356778138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY ZHITAR President 757-321-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101230485) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2020-10-21 |