| NPI | 1508906306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD POULIN Managing Member 757-466-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101054787) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |