| NPI | 1467711366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO A. DEJO Medical Doctor 703-323-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101029979) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-07-09 |