| NPI | 1609312552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON KIM Implementation Manager 703-291-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.123867) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |