| NPI | 1528200011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL D KRIEGER President 703-264-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101055986) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |