| NPI | 1366622326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GORDON HUNDT President 757-564-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101232252) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2011-04-05 |