| NPI | 1063532869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JARGOWSKI Office Manager 434-244-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-11 |