| NPI | 1679017255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBODHKUMAR SUNDARAM Physician 703-996-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |