| NPI | 1801844667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN MINH DO Director 703-658-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101047162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102201555) |
| 208D00000X General Practice (Licence: VA 0102201001) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-10 |