| NPI | 1932110269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAM REZA MEHRYAR Owner 703-620-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 22328) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |