| NPI | 1487060950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRA JOANNE THOMAS Owner 703-587-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101235337) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |