| NPI | 1932296159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUOC KIM DOAN Medical Officer 703-243-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101034371) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |