| NPI | 1154368975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN G O'GRADY President 757-481-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-01-03 |