| NPI | 1699886861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID R POURSHOJAE Owner Physician 703-878-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0102201710) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |