| NPI | 1922445766 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARIN BEDOYA Medical Assistant 703-998-0766  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 1320366)  | 
| Enumeration Date | 2013-06-03 | 
| Last Update Date | 2013-06-03 |