| NPI | 1770943565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURRAM J. MALIK Authorized Rep/Owner 703-288-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2017-04-17 |