NPI | 1073834503 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD S J WALKER Owner 251-340-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2010-06-18 |
Last Update Date | 2010-06-21 |