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 |