| NPI | 1528366598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L BLACK Office Manager 703-876-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0110002433) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2020-07-21 |