| NPI | 1972607281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED HARDON AZIM President 703-257-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101236183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101049112) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |