| NPI | 1467579482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G. CARPIO President 757-549-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055402) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |