| NPI | 1891971503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G FINE Physician 703-528-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-23 |