| NPI | 1467662197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL SELIM LOUKA President 757-473-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101036392) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-02-08 |