NPI | 1386723583 |
---|---|
Former Legal Business Name | MICHAEL C TRAHOS DO |
Entity Type | Organization |
Authorized Contact | MICHAEL C TRAHOS Sole Member 703-998-4913 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102035626) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0102035626) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0102035626) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2012-04-10 |