| NPI | 1205140324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL GLUCK President 703-361-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101028855) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |