| NPI | 1770536724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M MASTERSON Director 703-356-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101038350) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-11-07 |