| NPI | 1548217243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARCINCZYK Authorized Official 757-333-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-02-03 |