| NPI | 1093091399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELE ALFORD Owner 301-807-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MD D0042931) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |