| NPI | 1861453078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC J KIRSTEIN Physician 540-818-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: VA 0102201473) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |