| NPI | 1144403262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX MOSES KIRVEN President 757-963-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101054245) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2015-10-06 |