| NPI | 1598010456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGHMAN HUSEYNOV Physician 571-309-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: IL 125.061167) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |