| NPI | 1790929990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C DESPER Owner 703-361-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |