| NPI | 1467722835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SEAVER Owner 340-228-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VI 1498) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: VI 1498) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2013-10-22 |