| NPI | 1841473444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINO MARIO DOBROVIC Physician Owner 703-444-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101051921) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |