| NPI | 1649451253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LILLIS President 703-953-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101237920) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |