| NPI | 1457073520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVAN SHABAN Executive Director 703-405-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |