| NPI | 1669879243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL AMIR Owner 804-977-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101236604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236604) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2016-12-06 |