| NPI | 1679836746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUSUDAN PANTHI Account Manager 703-468-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101057543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101048836) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |