| NPI | 1598712150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MY HOA KAAS Owner Physician 703-205-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 1PD0031143) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-06-26 |