| NPI | 1972832608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN QUANG DAT LE Owner 703-716-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101840408) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2011-09-29 |