| NPI | 1770632630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGNUS K IKHINMWIN Medical Director 703-204-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101057344) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-12-21 |