| NPI | 1811082068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI FAZEL Owner 703-645-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0063370) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |