| NPI | 1497823728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO F. PAVON President 757-502-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101024987) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101024987) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-06-18 |