| NPI | 1609958776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BREINER President 540-989-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101050226) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101050226) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-04-11 |